other·public health, epidemiology, family medicine, research methods·PMC10267261
“We’re always an afterthought”- Designing tobacco control campaigns for dissemination with and to LGBTQ +—serving community organizations: a thematic analysis
Cancer Causes & Control · 14 authors, 10 centres
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Researchers conducted thematic analysis of interviews with 22 staff and leaders of LGBTQ+-serving community organizations in the US to explore challenges in adopting or adapting evidence-based tobacco control health communication campaigns. Three major themes emerged: insufficient centering of LGBTQ+ populations in available campaigns, extra burden on practitioners as gatekeepers, and conflicts between campaign use processes and community engagement efforts.
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This qualitative study used reflexive thematic analysis of semi-structured interviews with 22 staff members and leaders of LGBTQ+-serving community organizations in the US, conducted in early 2021 by a research team with lived, research, and/or practice experience in LGBTQ+ health. Three major themes were identified: available evidence-based health communication campaigns typically do not sufficiently center LGBTQ+ communities; negotiation regarding campaign utilization places additional burden on practitioners who serve as gatekeepers to protect community members; and processes of using campaigns often conflict with organizational efforts to engage community members in adoption and adaptation activities. The findings highlight challenges of using campaigns misaligned with the assets and needs of organizations and community members.